He aha te Myomectomy? Te Whāinga, te Hātepe & te Oranga

Ko te myomectomy he hātepe pokanga e tango ana i ngā fibroids uterine i te wā e pupuri ana i tō kōpū. E whai ana tēnei pokanga i te tūmanako mō ngā wāhine e hiahia ana ki te tiaki i ō rātou hua manu, ki te pupuri noa rānei i ō rātou kōpū i te wā e kimi ana i te whakawātea i ngā tohumate fibroid.

Kāore i rite ki te hysterectomy, e tango ana i te kōpū katoa, ko te myomectomy anake e aro ana ki ngā fibroids raruraru. Nō reira he kōwhiringa pai mō ngā wāhine e whakamahere ana ki te whai tamariki ā muri ake nei, e pai ana rānei ki te pupuri i ō rātou hanganga whakatipuranga.

He aha te myomectomy?

Ko te myomectomy he huarahi pokanga e aro ana ki te tango i ngā fibroids mai i tō kōpū i te wā e tiaki ana i te okana tonu. Nō te kupu "myo" te tikanga uaua me te "ectomy" te tikanga tango, e pā ana ki te kiko uaua e hanga ana i ngā fibroids.

I te wā o tēnei hātepe, ka āta tautuhi, ka tango te tākuta pokanga i ia fibroid i te wā e hanga anō ana i te pakitara kōpū. Ko te whāinga kia whakakore i ngā tohumate i te wā e pupuri ana i te hanganga me te mahi o tō kōpū mō ngā hapūtanga ā muri ake nei, ki te hiahiatia.

Ka taea te mahi i tēnei pokanga mā ngā huarahi rerekē i runga i te rahi, te maha, me te wāhi o ō fibroids. Ka whiriwhiria e tō tākuta pokanga te tikanga e whai hua ana me te huarahi iti rawa te whakaeke.

He aha te take e mahia ai te myomectomy?

Ka tūpono te myomectomy i te wā e pā ana ngā fibroids i ngā tohumate nui e raru ana i tō oranga o ia rā me te kounga o te oranga. Ko te take tino noa ko te nui o te toto i te wā o te paheketanga e kore e aro ki ētahi atu maimoatanga.

Me hiahia pea koe ki tēnei pokanga mēnā ka pā koe i te mamae nui o te pūpū, te pēhanga, te kōpū rānei e pā ana ki tō kaha ki te mahi, ki te whakakori tinana, ki te pārekareka rānei ki ngā mahi. He maha ngā wāhine e whiriwhiri ana i te myomectomy i te wā e pā ana ngā fibroids i te mimi auau, i te uaua rānei ki te whakawātea katoa i ō rātou pūpū.

He maha ngā wā ka whakatau te tangata ki te mahi myomectomy nā te āwangawanga mō te whānautanga. Ki te raru ngā fibroids i tō kaha ki te hapū, ki te kawe rānei i te hapū kia tae ki te wā, mā te tango i a rātou ka pai ake ō tūponotanga ki te hapū me te whānau angitu.

Ko ētahi wāhine ka whiriwhiri i te myomectomy i te wā e pūhaehae ana ngā fibroids i te puku, i te wā rānei kāore anō ētahi atu rongoā pērā i ngā rongoā, i ngā tikanga iti ake te wawaotanga i whai hua.

He aha te tikanga mō te myomectomy?

He rerekē te tikanga myomectomy i runga i te huarahi pokanga e tūtohu ana tō tākuta. E toru ngā momo matua, i hangaia ia momo ki te uru atu ki ngā fibroids i ngā wāhi rerekē i roto i tō kōpū.

Ka whakamahi te myomectomy laparoscopic i ngā tapahi iti i tō puku me ngā taputapu motuhake hei tango i ngā fibroids. Ka whakauru tō tākuta pokanga i tētahi kāmera iti e kīia ana he laparoscope hei ārahi i te tikanga i te wā e tango ana i ngā fibroids mā ēnei whakatuwheratanga iti.

Ka uru te myomectomy hysteroscopic ki ngā fibroids mā tō tara me tō kaki kōpū, kāore he tapahi o waho. Ko te huarahi pai rawa atu tēnei mō ngā fibroids e tipu ana i roto i te kōpū, e pūhaehae ana hoki i te toto nui.

Ko te myomectomy tuwhera e hāngai ana ki te tapahi puku nui ake, he rite ki te wāhanga cesarean. Ko tēnei tikanga e rāhui ana mō ngā fibroids nui, ngā fibroids maha, i te wā rānei i hangaia e ngā pokanga o mua he kiko kiko e uaua ai ngā huarahi iti ake te wawaotanga.

I te wā o tētahi huarahi myomectomy, ka tūpato tō tākuta pokanga ki te tango i ia fibroid i te wā e tiaki ana i te kiko kōpū hauora. Ko te tikanga e pā ana ki te kotahi ki te toru hāora i runga i te uaua o tō take.

Me pēhea te whakarite mō tō myomectomy?

Ka tīmata te whakarite mō te myomectomy i ngā wiki maha i mua i tō rā pokanga. Tērā pea ka tohutohu tō tākuta i ngā rongoā hei whakaiti i ō fibroids me te whakaiti i te toto, hei whai hua ai te pokanga me te haumaru.

Me mutu koe ki te tango i etahi rongoā ka piki ake te tūponotanga o te toto, tae atu ki te aspirini, ngā rongoā whakaheke toto, me ētahi taapiringa otaota. Ka whakawhiwhia e tō rōpū hauora he rārangi katoa o ngā mea hei karo me te wā hei whakamutu i ia rongoā.

Ko ngā whakamātautau i mua i te pokanga ko te tikanga ko te mahi toto hei tirotiro i ō taumata hemoglobin me te āhua o tō hauora. Mēnā he anemia koe i te nui o te toto, ka tūtohu pea tō tākuta i ngā taapiringa rino, i ētahi atu rānei maimoatanga hei whakapai ake i tō tatau toto i mua i te pokanga.

I te pō i mua i te pokanga, me mutu koe ki te kai me te inu i tētahi wā motuhake, te tikanga i te pō waenga pō. Ka hoatu e tō rōpū pokanga ngā tohutohu tika mō te wā hei tīmata i te nohopuku me ngā rongoā katoa me tango e koe i te ata o te pokanga.

Whakaritea mō tō wā whakaora mā te whakarite i te āwhina mō ngā mahi o te whare, te tiaki tamariki, me te kawe waka. Whakawhiwhia ki ngā kākahu pai, ngā kai hauora, me ngā taonga katoa e tūtohu ana tō tākuta mō te tiaki i muri i te pokanga.

Me pēhea te pānui i ō hua myomectomy?

I muri i tō myomectomy, ka whakawhiwhia e tō tākuta pokanga ngā kōrero mō te mea i kitea me te tango i te wā o te mahi. Mā tēnei kōrero e āwhina i a koe ki te mārama ki te whānuitanga o tō raru fibroid me te aha e tūmanako ana mō te whakaora.

Ka whakapūmau te pūrongo pathology i te mea i tangohia te kiko he fibroids tonu, ehara i ētahi atu momo tipu. Ko te tikanga ka roa te maha o ngā rā ki te whakaoti i tēnei pūrongo, engari ka whai wāhi nui ki te whakapūmau i te āhua o tō āhua.

Ka whakaahua tō tākuta pokanga i te rahi, te maha, me te wāhi o ngā fibroids i tangohia. Mā tēnei kōrero e āwhina ki te matapae i te nui o te whakaiti tohu ka taea e koe te tūmanako me te mēnā ka hiahiatia he maimoatanga atu i te wā e heke mai nei.

Ka inea te angitu o te whakaora mā te whakapai ake i ngā tohu i ngā marama e whai ake nei. Ko te nuinga o ngā wāhine ka kite i te whakahekenga nui o te nui o te toto i roto i ngā huringa paheketanga tuatahi i muri i te pokanga.

Me pēhea te whakapai ake i tō whakaora i muri i te myomectomy?

Me whai manawanui me te aro nui ki te tukanga whakaora o tō tinana i muri i te myomectomy. He rerekē te wā e hiahiatia ana i runga i te huarahi pokanga i whakamahia me te kaha whakaora o tō tinana.

Mō ngā tikanga laparoscopic, ka hoki te nuinga o ngā wāhine ki ngā mahi noa i roto i te rua ki te toru wiki. Ko te myomectomy tuwhera te tikanga e whā ki te ono wiki te wā whakaora, me ngā here mō te hiki me te hoki haere ki ngā mahi katoa.

Ko te whakahaere i te mamae i te wā whakaora te tikanga ko ngā rongoā rongoā i te tuatahi o ngā rā, ka whai mai ko ngā kōwhiringa i runga i te kaute i te wā e heke ana te mamae. Ka hoatu e tō rōpū pokanga ngā aratohu motuhake mō te whakahaere i te mamae i runga i te haumaru me te whai hua.

He mea nui ngā tūhono whai muri mō te aroturuki i tō haere whakaora me te whakatika i ngā āwangawanga. Ka tirohia e tō tākuta ō wāhi tapahi, ka kōrero mō tō wheako whakaora, me te whakatau i te wā ka taea e koe te hoki ki ngā mahi noa tae atu ki te whakakori tinana me te mahi tūāhua.

He aha ngā āhuatanga tūpono mō te hiahia myomectomy?

He maha ngā āhuatanga e whakanui ana i tō tūponotanga ki te whakawhanake i ngā fibroids e kaha ana ki te hiahia myomectomy. He nui te mahi a te tau, ko ngā fibroids te nuinga e pā ana ki ngā wāhine i ō rātou tau 30 me 40.

He nui te pānga o te hītori whānau ki te whakawhanaketanga o te fibroid. Ki te mea i pā te fibroids ki tō whaea, tō tuahine rānei, he nui ake te tūponotanga ka whakawhanake koe i a rātou. Kāore e taea te huri i tēnei wāhanga ira, engari ka āwhina i te whakamārama i te aha i kaha ake ai te tūpono o ētahi wāhine.

E pā ana te iwi me te iwi ki te tūponotanga o te fibroid, ko ngā wāhine Āwherika Amerika e pā ana ki te nui ake o ngā fibroids me ngā tohu kaha ake. Ko ēnei fibroids te tikanga ka whakawhanake i ngā tau iti ake, ka nui ake te tipu i ētahi atu taupori.

Ngā āhuatanga o te oranga e whakanui ana i te tūponotanga o te fibroid ko te momomo, te pēhanga toto tiketike, me ngā kai iti i ngā hua me ngā huawhenua. Heoi, he iti ake te matapae o ēnei āhuatanga i ngā ira me ngā taupori.

Te wawe o te paheketanga (i mua i te 12 tau) me te kore rawa i hapū ka hono ano ki te nui ake o te tūponotanga o te fibroid. Ko nga mea hormonal puta noa i o tau whakatipuranga ka awe i te tipu o te fibroid me te kaha o nga tohu.

He aha nga raruraru ka puta mai i te myomectomy?

Pērā i ngā mahi pokanga katoa, he tūponotanga ētahi o te myomectomy me mōhio koe i mua i te whakatau. Ko te nuinga o nga wahine e ora pai ana, engari ko te mohio ki nga raruraru ka awhina i a koe ki te whiriwhiri tika.

Ko te toto i te wa, i muri ranei i te pokanga te mea e tino māharahara ana ki te myomectomy. Ko te nui o te toto i te wa o te mahi i etahi wa ka hiahia ki te whakawhitinga toto, ahakoa ka puta tenei i roto i te iti iho i te 1% o nga keehi. Ko te toto i muri i te pokanga ka taea te whakahaere me te tiaki tika.

Ka puta te mate i nga waahi tapahi, i roto ranei i te puku, ahakoa he mea noa tenei me te tikanga pokanga tika me te tiaki i muri i te pokanga. Ko nga tohu o te mate ko te kirika, te nui o te mamae, te rere ke ranei mai i nga waahi tapahi.

Ko te hanga o te kiko kiko i roto i te puku, i te kōpū ranei ka pā pea ki te whanautanga a muri ake nei, ahakoa he iti noa tenei tūponotanga. Ka whai tikanga tō tākuta ki te whakaiti i te kiko kiko, engari ka puta tonu ētahi tohu o te whakaora i roto i te pokanga.

Ko nga raruraru onge ko te kino ki nga okana tata penei i te pūpū, i te whekau ranei, ina koa i nga mahi uaua e uru ana ki nga fibroids nui, maha ranei. Ka puta enei raruraru i roto i te iti iho i te 1% o nga mahi myomectomy.

Ka pa ki etahi wahine nga huringa rangitahi i roto i nga tauira paheketanga, i te whanautanga ranei i muri i te myomectomy, ahakoa ka whakatauhia enei i roto i etahi marama i te wa e haere ana te whakaora.

Ahea ahau e kite ai i te tākuta i muri i te myomectomy?

Ko te mohio ki te wa ki te whakapā atu ki tō kaiwhakarato hauora i muri i te myomectomy ka āwhina i te whakaora tika me te hopu i ngā raruraru i te wā. Ko te nuinga o nga awangawanga i muri i te pokanga he waahanga noa o te whakaora, engari ko etahi tohu e hiahia ana kia aro wawe.

Whakapā atu ki tō tākuta i te wā tonu mēnā ka pā mai te toto nui e mākū ana i te papa i ia hāora mō te maha o ngā hāora. He mea noa te toto i muri i te pokanga, engari ko te toto nui pea e tohu ana i te raruraru e hiahia ana ki te rongoā.

Ko te kirika i runga ake i te 101°F (38.3°C) rānei, te wiri rānei, ka tohu pea i te mate urutā, me pūrongo tonu ki tō rōpū pokanga. Ko te rongoā wawe i ngā mate urutā i muri i te pokanga ka hua ake ngā hua pai me te whakaora tere.

Ko te mamae nui, te mamae rānei e kino haere ana, kāore e pai ake i ngā rongoā kua tohua, ka tohu pea i ngā raruraru pēnei i te mate urutā, te toto rānei i roto. Kaua e ruarua ki te waea atu mēnā ka kore e taea te whakahaere i te mamae, ka kino rawa atu rānei.

Ngā tohu o te mate urutā i ngā wāhi tapahi ko te whero nui ake, te mahana, te pūhi, te wai pēnei i te pūhi rānei. Ko ēnei tohu e tika ana kia arotakehia e te tākuta i te wā tonu, me te rongoā paturopi pea.

Ko te uaua ki te mimi, te whakapairuaki tonu me te ruaki, te poto o te manawa ohorere rānei, he take anō hoki hei whakapā atu ki tō kaiwhakarato hauora i muri tonu i te myomectomy.

Ngā pātai e pā ana ki te myomectomy

Q.1 He whai hua te myomectomy mō te toto nui i te wā o te paheketanga?

Āe, he tino whai hua te myomectomy mō te whakaiti i te toto nui i te wā o te paheketanga i pā mai i ngā fibroids. Ko te nuinga o ngā wāhine e kite ana i te whakapai ake i ā rātou tauira toto i roto i ngā huringa paheketanga tuatahi i muri i te pokanga.

E whakaatu ana ngā rangahau e 80-90% o ngā wāhine e pūrongo ana i te whakaiti nui i te toto nui i muri i te myomectomy. Ko te whakapai ake tika e whakawhirinaki ana ki te rahi, te maha, me te wāhi o ngā fibroids i tangohia i te wā o tō tukanga.

Q.2 Ka taea e au te hapū i muri i te myomectomy?

Ka taea e te nuinga o ngā wāhine te hapū me te hapū hauora i muri i te myomectomy, ahakoa me tatari koe mō te maha o ngā marama kia ora katoa. Ka tohutohu te tākuta kia tatari mō te toru ki te ono marama i mua i te ngana ki te hapū.

He pai te reeti angitu o te hapūtanga i muri i te myomectomy, he maha nga wahine e whakatutuki ana i te rahi o te whanau e hiahiatia ana e ratou. Heoi, tera pea ka hiahia koe ki te whanau cesarean i runga i te momo myomectomy i mahia me te pehea i ora ai to kōpū.

Q.3 Ka tipu ano nga fibroids i muri i te myomectomy?

Ka taea e nga Fibroids te tipu ano i muri i te myomectomy na te mea karekau te tikanga e whakarereke i nga mea i puta ai i te tuatahi. Heoi, he rereke nga reeti tukurua i runga i nga ahuatanga takitahi.

Tata ki te 15-30% o nga wahine ka whakawhanake i nga fibroids hou e hiahia ana ki te rongoa i roto i te 5-10 tau i muri i te myomectomy. Ko nga wahine taiohi i te wa o te pokanga he nui ake nga reeti tukurua na te mea he maha nga tau o te rongoa homoni kei mua i a ratou.

Q.4 E hia te roa o te whakaora myomectomy?

Kei runga i te momo myomectomy i mahia e koe me to tukanga whakaora takitahi te wa whakaora. Ko nga tikanga laparoscopic te tikanga e hiahia ana kia 2-3 wiki mo te whakaora tuatahi, i te mea ka roa pea nga tikanga tuwhera i te 4-6 wiki.

Ka taea e koe te tumanako ki te hoki ki te mahi tari i roto i te 1-2 wiki mo nga tikanga iti nei te pokanga me te 2-4 wiki mo te pokanga tuwhera. Ko te whakaora katoa tae atu ki te hoki ki te korikori tinana me te hiki taumaha i te nuinga o te wa ka roa te 6-8 wiki ahakoa te huarahi i whakamahia.

Q.5 He aha nga huarahi ke atu ki te myomectomy?

He maha nga huarahi ke atu i runga i o tohu, to tau, me o whainga whakamahere whanau. Ko nga rongoa homoni penei i nga pire whakahaere whanau, i nga IUD ranei ka awhina i te whakahaere i nga tohu kaore he pokanga mo etahi wahine.

Ko nga tikanga iti ake te pokanga ko te uterine artery embolization, te ultrasound aro, te radiofrequency ablation ranei. Mo nga wahine karekau e hiahia ana ki nga hapūtanga a muri ake nei, ka whakawhiwhia e te hysterectomy te rongoa tino ma te tango i te kōpū katoa.